Dewhurst's Textbook of Obstetrics & Gynaecology

This classic textbook continues to provide the basic knowledge relevant to the practice of obstetrics and gynaecology. Comprehensive in scope, Dewhurst’s Textbook of Obstetrics & Gynaecology offers contributions from a noted panel of experts and contains an integrated approach that is designed to help deliver the highest possible care to patients.

Since the publication of the previous edition, there have been a number of obstetric breakthroughs that are addressed in this new edition.  Written for both students and professionals, Dewhurst’s Textbook of Obstetrics & Gynaecology is a straightforward, authoritative and practice-based guide to women’s reproductive health.

D. KEITH EDMONDS, Adjunct Professor at Imperial College London, UK. Formerly Consultant Obstetrician and Gynaecologist at Queen Charlotte's and Chelsea Hospital, London, UK.

CHRISTOPH LEES, Professor in Obstetrics and Fetal Medicine at Imperial College, London, UK.

TOM BOURNE, Adjunct Professor at Imperial College London, UK.

List of Contributors xi

Preface to the Ninth Edition xviii

Preface to the First Edition xix

Section 1 Obstetrics 1

Part 1 Basic Science 3

1 Maternal Physiology 5
Fiona Broughton Pipkin

2 The Placenta and Fetal Membranes 18
Berthold Huppertz and John C.P. Kingdom

Part 2 Normal Pregnancy 29

3 Healthy Fetal Growth 31
Aris T. Papageorghiou

4 Pre‐conception Counselling 38
Mandish K. Dhanjal

5 Antenatal Care 47
George Attilakos and Timothy G. Overton

6 First Trimester Antenatal Screening 58
T.K. Lau

Part 3 Maternal Medicine 71

7 Hypertensive Disorders 73
Jason J.S. Waugh and Marie C. Smith

8 Heart Disease in Pregnancy 85
Dawn L. Adamson and Catherine Nelson‐Piercy

9 Diabetes in Pregnancy 97
Sarah N. Ali and Anne Dornhorst

10 Liver and Endocrine Diseases in Pregnancy 116
Michael A. Heneghan and Catherine Williamson

11 Renal Disease 129
Liz Lightstone

12 Haematological Problems in Pregnancy 147
Sarah Davis and Sue Pavord

13 Maternal Infection During Pregnancy 161
Maddalena Morlando and Baskaran Thilaganathan

14 Psychiatric Problems in Pregnancy and Post Partum 178
Joanna V. MacLean and Teri B. Pearlstein

15 Autoimmune Rheumatic Diseases and Other Medical Disorders in Pregnancy 191
Andrew McCarthy and May Ching Soh

16 Obesity and Pregnancy 207
Mary Higgins and Fionnuala McAuliffe

Part 4 Fetal Medicine 219

17 Fetal Growth Restriction 221
Thomas R. Everett and Christoph C. Lees

18 Third Trimester Fetal Assessment 231
Jon Hyett

19 Fetal Medical Conditions 243
Janet Brennand

20 Fetal Anomalies 254
Sailesh Kumar

21 Multiple Pregnancy 268
Mark D. Kilby, and Dick Oepkes

Part 5 Birth 283

22 Normal Mechanisms in Labour 285
Andres Lopez Bernal and Errol R. Norwitz

23 Post‐term Pregnancy 307
Aaron B. Caughey

24 Induction and Augmentation of Labour 326
Jane E. Norman and Sarah J. Stock

25 Obstetric Emergencies 336
Sara Paterson‐Brown and Timothy J. Draycott

26 Malpresentation, Malposition, Cephalopelvic Disproportion and Obstetric Procedures 354
Kim Hinshaw and Sabaratnam Arulkumaran

27 Fetal Monitoring During Labour 372
Sara Paterson‐Brown and Tracey A. Johnston

28 Preterm Labour 387
Phillip Bennett

29 Stillbirth 413
Bryony Jones

30 Analgesia, Anaesthesia and Resuscitation 423
Felicity Plaat

Part 6 Postnatal Care 431

31 Puerperium and Lactation 433
D. Keith Edmonds

32 Neonatal Care for Obstetricians 445
Simon Hannam

33 Perinatal Epidemiology and Statistics 459
Dharmintra Pasupathy

Section 2 Gynaecology 473

Part 7 Basic Science 475

34 Clinical Anatomy of the Pelvis and Reproductive Tract 477
Alan Farthing

35 Normal and Abnormal Development of the Genital Tract 485
D. Keith Edmonds

36 Role of Imaging in Gynaecology 499
Wouter Froyman and Dirk Timmerman

37 Ambulatory Gynaecology, Hysteroscopy and Laparoscopy 519
T. Justin Clark and Lynne L.L. Robinson

Part 8 Childhood and Adolescence 541

38 Puberty and Its Disorders 543
D. Keith Edmonds

39 Gynaecological Disorders of Childhood and Adolescence 552
D. Keith Edmonds

Part 9 Early Pregnancy Problems 557

40 Spontaneous Miscarriage 559
Christine I. Ekechi and Catriona M. Stalder

41 Recurrent Miscarriage 568
D. Keith Edmonds

42 Gestational Trophoblast Neoplasia 575
Michael J. Seckl

43 Ectopic Pregnancy 589
George Condous

44 Induced Abortion 597
Patricia A. Lohr

45 Acute Pelvic Infection 611
Jonathan D.C. Ross

Part 10 Menstruation 621

46 The Menstrual Cycle 623
William L. Ledger

47 Polycystic Ovary Syndrome and Secondary Amenorrhoea 632
Adam Balen

48 Heavy Menstrual Bleeding 653
Andrew W. Horne and Hilary O.D. Critchley

49 Premenstrual Syndrome 663
Zeiad A. El‐Gizawy and P.M. Shaughn O’Brien

50 Menopause and Postmenopausal Health 672
Nick Panay

Part 11 Reproductive Problems 689

51 Subfertility 691
Nick Raine‐Fenning

52 Assisted Reproduction 704
Geoffrey H. Trew and Stuart A. Lavery

Part 12 Pelvic Pain 721

53 Endometriosis 723
Neil P. Johnson

54 Chronic Pelvic Pain 744
Janesh Gupta

Part 13 Urogynaecology 753

55 Uterovaginal Prolapse 755
Mark Slack

56 Urinary Incontinence 766
Vik Khullar

Part 14 Benign Gynaecological Disease 793

57 Benign Diseases of the Vulva 795
Fiona M. Lewis

58 Benign Diseases of the Vagina, Cervix and Ovary 811
D. Keith Edmonds

59 Benign Disease of the Uterus 823
Thierry Van den Bosch

Part 15 Gynaecological Cancer 835

60 Malignant Disease of the Vulva and the Vagina 837
David M. Luesley

61 Premalignant and Malignant Disease of the Cervix 858
Maria Kyrgiou

62 Endometrial Cancer 876
Sean Kehoe

63 Surgical and Medical Management of Epithelial Ovarian Cancer 884
Christina Fotopoulou, Hani Gabra and Sarah P. Blagden

Part 16 Sexual Health 905

64 Sexually Transmitted Infections 907
Peter Greenhouse

65 Contraception and Sterilization 939
Sharon T. Cameron

66 Sexual Dysfunction 954
Kevan R. Wylie

67 Rape and Sexual Assault and Female Genital Mutilation 967
Catherine White

Part 17 Miscellaneous Topics 985

68 Ethical Dilemmas in Obstetrics and Gynaecology 987
Emily Jackson

69 The Law and the Obstetrician and Gynaecologist 999
Bertie Leigh

70 Evidence-based Medicine in Obstetrics and Gynaecology 1008
Siladitya Bhattacharya and Arri Coomarasamy

Index 1015

Colour plate section can be found facing pages 524 and 525.

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